Provider Demographics
NPI:1215079413
Name:MULLINEAUX SAUER, DOROTHY JEAN (LCSWR)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JEAN
Last Name:MULLINEAUX SAUER
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:DOTTIE
Other - Middle Name:
Other - Last Name:MULLINEAUX SAUER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4 CHELSEA PLACE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065
Mailing Address - Country:US
Mailing Address - Phone:518-526-1151
Mailing Address - Fax:518-383-3249
Practice Address - Street 1:4 CHELSEA PLACE
Practice Address - Street 2:SUITE 101
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065
Practice Address - Country:US
Practice Address - Phone:518-526-1151
Practice Address - Fax:518-383-3246
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0311561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical